The closer hospitals adhere to national guidelines for treating potential heart attack patients, the greater the decline in their mortality rates, according to a analysis of treatment patterns at 315 U.S. hospitals by Duke Clinical Research Institute researchers.
The analysis is among the first of its kind to definitively link hospitals improvement in use of guideline-recommended treatments with concomitant reductions in hospital death rates. These findings should provide compelling scientific evidence that quality improvement initiatives are worth it, and translate into significant savings in patients lives, the researchers said. "These findings should be a strong motivation to people, who until now found it difficult to commit to quality improvement initiatives without evidence that they work," said cardiologist Eric Peterson, M.D., who presented the results of the Duke analysis Nov. 10, 2004, at the annual scientific sessions of American Heart Association (AHA) in New Orleans. "This study shows what a profound influence quality improvement can have on saving patients lives."
The study involved analyzing reports of hospitals adherence to treatment guidelines and mortality rates over a two-year period, from 2002 to 2003. "When we looked at the hospitals as a group at the beginning, they were almost indistinguishable from each other in their capabilities and services offered," said Peterson "The only difference was that over time some changed their practices according to the guidelines and others did not. "However, when we then looked at how mortality rates changed from baseline to the latest quarter, what we found was remarkable," he continued. "Those hospitals that were the worst at following the guidelines saw their mortality rates increase, while those hospitals that had the largest improvement in adherence had the greatest decrease in mortality rates. We believe this is the best argument for hospitals to devote the necessary time and effort into improving their systems for taking care of these patients."
Richard Merritt | EurekAlert!
Electrical 'switch' in brain's capillary network monitors activity and controls blood flow
27.03.2017 | Larner College of Medicine at the University of Vermont
Laser activated gold pyramids could deliver drugs, DNA into cells without harm
24.03.2017 | Harvard John A. Paulson School of Engineering and Applied Sciences
Astronomers from Bonn and Tautenburg in Thuringia (Germany) used the 100-m radio telescope at Effelsberg to observe several galaxy clusters. At the edges of these large accumulations of dark matter, stellar systems (galaxies), hot gas, and charged particles, they found magnetic fields that are exceptionally ordered over distances of many million light years. This makes them the most extended magnetic fields in the universe known so far.
The results will be published on March 22 in the journal „Astronomy & Astrophysics“.
Galaxy clusters are the largest gravitationally bound structures in the universe. With a typical extent of about 10 million light years, i.e. 100 times the...
Researchers at the Goethe University Frankfurt, together with partners from the University of Tübingen in Germany and Queen Mary University as well as Francis Crick Institute from London (UK) have developed a novel technology to decipher the secret ubiquitin code.
Ubiquitin is a small protein that can be linked to other cellular proteins, thereby controlling and modulating their functions. The attachment occurs in many...
In the eternal search for next generation high-efficiency solar cells and LEDs, scientists at Los Alamos National Laboratory and their partners are creating...
Silicon nanosheets are thin, two-dimensional layers with exceptional optoelectronic properties very similar to those of graphene. Albeit, the nanosheets are less stable. Now researchers at the Technical University of Munich (TUM) have, for the first time ever, produced a composite material combining silicon nanosheets and a polymer that is both UV-resistant and easy to process. This brings the scientists a significant step closer to industrial applications like flexible displays and photosensors.
Silicon nanosheets are thin, two-dimensional layers with exceptional optoelectronic properties very similar to those of graphene. Albeit, the nanosheets are...
Enzymes behave differently in a test tube compared with the molecular scrum of a living cell. Chemists from the University of Basel have now been able to simulate these confined natural conditions in artificial vesicles for the first time. As reported in the academic journal Small, the results are offering better insight into the development of nanoreactors and artificial organelles.
Enzymes behave differently in a test tube compared with the molecular scrum of a living cell. Chemists from the University of Basel have now been able to...
20.03.2017 | Event News
14.03.2017 | Event News
07.03.2017 | Event News
27.03.2017 | Earth Sciences
27.03.2017 | Life Sciences
27.03.2017 | Life Sciences